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CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

rm 

us Anny Corps 

of Engineers 

ECC Certification for Property Closeout 

OLSID 26765 Property Address 1809 N 25th St 

Field Work Started 10/3/2007 Field Work Completed 10/312 007 

Summary: 

• The excavation was performed in compliance with the work plans and specifications. 

• F I excavation depth was 8 inches below ground surfaces. 

• B 1 excavation depth was 5 inches below ground surfaces. 

• Verification samples confirmed that cleanup standards were met. 

• The site was backfilled with material which meets the contract specifications. 

• The backfill was compacted to acceptable standards. 

• Sod placement and site restoration were conducted in compliance with the specifications and 

work plans. 

Comments: None 

Name 

"~ \ DI! rv(ll 

Title 

ECCQCM o 

Date 

INOv 6+­ ~ ~~ Jeff Hubbard USACE Con Rep UI • 12 Lrn ~ r.Ji1l1 Name Title Date Signa e 

\ 
2ft,7fo5 


Exterior Pain! North Arrow Owner Name: ?J~~J/'1't~gpt eM[ Oma.ha Lead Site o Good Address: ( 'hurchS,te Sketch .. 

Phone: 5.7f'-n~~Q W: .9~e- o.9lo9. ~oor r~. Team C. childs -

OLS FP/l XRFCode 

Not 

27Bl/ 

painl 1

Quadrant // Lead Concentration Date A /0

FI B /60 ~~:J/t 10 3 7 

F2 ZI~ I 

BI 5 77 L7­~pm B2 00 pm* LogBook 

DZ ppm /

tll-Jotl-fl? 0'/ ZZZ ppm 

ppm 

ppm 

ppm 

- ... - - .. . -_. " • - •• - .. ~ ...:;1 ........ , - ~g .... " "'0;::1l, 1..14 - Ddl../\ r\1~11l VL. - LJIIY L.UHC, ~L. - \!Jetlvell, rL - r-ICly 

•• • _ • • • • • • • • • • • • • • • • All quadrants are as viewed from the street, facing property : : : . .... : . .. .. ; . ... .; .... . ; . .. .. ; ... .. : ...... ; .. .. .; ... . . ; .. . .. ; .... . 

: .....: ',' ... ~ .... .i... .. ; .. ... ; ......; ..... ~ .....; .....;..... ;..... ; ... .. ; .. ... ;.. ... : 

. . . . ' , , , , , ; ENTERED' , ~ ., .. '! ... , . ~ .. , ,.! .... ': . , ... : .... . : .....:... .. : .. ...:..... : ... 'oCl 'ri"3 200S·: ·····: . . . . : ~ , . . . . . . .'. 

:. .. .. :~ . . . . . : .. ... : . . ... : . . . .. : .....;..... ;. . . . . ;.. .. . ;..... ;. .... ;. ... . ;. . . .. ~ . . . . . : 

:.. ... :.. ... : ..... : .. .. . : .. .. . : . .. . . :.... : ; .. . ' .:... ... ;.... .. ~ . . ...; ~ ....;.....;.. . .. : 

~. 

.' . 

. . ; .. ... : . ... .'.. ... .: . ... . 

: : ~~ : 

-:JIJ:j~';!Y. ,~s: .51:; . .. . . ; .. . .. ; . . ... 

:.. .... ;. .. . .. : .. ... : . . . .. : .... .;. ... . .. ~ . . ... : .. . .. : .... .: ..... ~ .... . ~ ... . . ~ ... . . ;... . . : 

ev .... .... . ~ • .• • • ~ ••••• :. .• • •• ~ • •• . . ~ • _ . . ... . . . .. ~ •• . •• : • • •• • ~ . . .. . .. ..... ~ • •• • • ~ •• _ • _ ~ 046 J4 1.01 23 

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page 1 of_ 

L.~ +G,J" 

u.s. Environmental Protection Agency Region VII 

Omaha Lead Site 

Omaha,NE 

Residential Yard Soils 

Environmental Restoration 

Services 

PROPERTY ACCESS (to be completed by property owner) 

;::il'2 'e-: I t:s:a '-: ~ a i;r ;:-s;:<:~ .... , ::C' 'ave' 1 'e a EO:- 22: ;4:5 

Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers (USACE), Omaha 

IIDistrict to conduct environmental restoration services for the Omaha Lead Site. USACE Omaha is working with 

IIE,nvilror,m••ntal Chemical Corporation (ECG) to remove lead contaminated soil and provide subsequent restoration 

Your cooperation is requested in giving EPNUSACElECC permission to access your property during the 

liremolvail/restorat,ion phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551· 

or the Office of External Programs, at 1·800·223·0425. 

(Please Print Name) 

HR€!Sident Name: N / A Downer o renter 

IRes'iden,ceAddress: . 18Qq N. ~ QfIIP,rnr,pr1lv Owned By:_ . Omaha Economic DeveaJ.LOo.ppmmeenDLt-.LC..cOlIT'IP"OlIT:callt:.oiuollD'-________________________ 

1I0wners mailing address. 2221 North 24 Street 

DO,.,n.,r's telephone number· Home:_--"N14I.J;AL..______________ Work: --'=='-""'-"--=='--___-11 

__________years How long have you lived here? _________ years 

the exteior been painted or covered with siding since 1978? 

the interior been painted or covered since 1978? 

number of occupants: N / A ---- List 

DYes 

DYes 

o No 

o No 

ages of occupants under 6 years old who play in the yard for 5 or more hours per week:,_N::....:./"'A'-_______ 

activities to be implemented by EPA under this agreement are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access 

for in Section 104(e) of CERCLA. 42 U.S.C. 9604 (e), which provides entry for, "determining the need for response, or choosing or 

I • 

First: __________ Second:: ____________ Third: : ___________ 
Contract No. W912DQ-04-D-OOI7, Task Order DKOI 


Omaha Lead Site, Omaha, NE 


Property Qoseout Agreement 


DVID Property Address I / laC( N ~.s- s. r 

Property Owner Is the Owner the Resident? 0 Y es ~o 

Compliance Statement: 

U.S. Environmental Protection Agency (EPA) has contracted the U.S. Army Corps ofEngineers 

(USACE), Omaha District to conduct environmental restoration services for the Omaha Lead Site. 

USACE Omaha is working with Environmental Chemical Corporation (ECC) to remove lead 

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EP NUSACElECC permission to access your property during the 

removal/restoration phase is sincerely appreciated. This document certifies that all work performed at 

this property was completed in accordance with the contract specifications and EPA requirements. 

If you have questions or need additional information please contact Don Bahnke, EPA Project Manager, 

at (913) 551-7003 or the Office ofExternal Programs at 1-800-223-0425. 

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION 


Prasl Jame~. yarcia ECC Project fanager 

I "\ -/ 

Date 

PROPERTY OWNER SECTION 

~~: LI-- ~uperintendent 

This agreement documents the completion ofremediallrestoration efforts at the property to my 

satisfaction. 

W-- I agree that restoration is completed at my property, except as noted 

Comments (if applicable): 

Prope,tf Owner's Signature 0 Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Dased Contracting (PDC) Pilot Project 

Remediation Contractor: ___6"'C!.::..l.C_-_______________ 

Property Identifier Number: ________ 

Property DVID Number: _-,c9-::.....::.!P-,'7:..;:W::..;O:::....-__ 

Property Address: __-2...I.=.8':.::..CJ-L1_!.-'Nc.-..>:t)..::..;S"==---_,s.:::...!..-;-_________ 

Property Owner's Name: _--'-O'-'E-""'-".I>"-'-C________________ 

(above infonnation to be filled out by remediation conbaCtor prior to delivery of fonn to Property Owner) **•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Instructions to Property Owner: 

lbis form is provided to you as a means oftrying to capture your level of satisfaction 

with the work of the above-identified Remediation Contractor, as applicable to the soil cleanup 

action at your property. The U.S. Environmental Protection Agency (EPA) and the U.S. Army 

Corps of Engineers (USACE) are very interested in your opinion regarding the work performed 

by our contractors. lbis form is intended to provide an easy means for you to express your 

opinion about the work performed on your property. 

Please indicate your level of satisfaction with the Contractor's work by selecting a 

numerical rating (ranging from 1 to 10) using the following rating scale, then please sign & date 

the form and retum it to USACE in the attached self-addressed & stamped envelope. (Additional 

comments may also be provided in the space provided, at the option of the property owner.) 

9-\ 0 "excellent" 

7-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

\-2 "very poor" 

Property Owner's Satisfaction Rating regarding Contractor's Work 

10 5 

9 4 

8 3 

7 2 

6 \ 

Additional Comments from Property Owner (optional; continue on back of page ifneeded) 

Property Owner's Signature: (C~~ Date: It? -3() -cJ 7 
CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

Analytical Results Summary 

OLS # 26765 

1809 N 25th St 

Quadrant Sample 

Type 

Depth Date Collected XRF Results 

(ppm) (avg.) 

DE I F1 I 8 10/3/2007 180 

DE B1 5 10/3/2007 112 

DE EA-S II 0 10/3/2007 222 

I II II I 

I II II I 

SAMPLE 10· 

SAMPLE ID is a particular residential property ID from which the sample is collected. 

The sample type identifier (with sequential sample number for that IDeation) as follows; 


PX ,. Pre-Excavation XRF sample 


DE - During and Post Excavation 


Quadrant describes the sampling location (with sequential sample number for that location) as follows; 

F I or F2 -= Front Yard One or Front Yard Two 

Bl or B2 - Back Yard One or Back Yard Two 

DZ - Drip Zone 

GA - Garden 

PA -= Play Area 


EA = Easement 


Depth describes the depth from which the sample was collected. 

ppm"" parts per million